Efficacy and safety analysis of immune checkpoint inhibitors combined with chemotherapy in the treatment of advanced triple-negative breast cancer: an umbrella meta-analysis - Takeaways - MDSpire

Assessment of the Safety and Effectiveness of Combining Immune Checkpoint Inhibitors with Chemotherapy for Advanced Triple-Negative Breast Cancer: A Comprehensive Meta-Analysis

  • By

  • Wendi Cao

  • Qingxi Rong

  • Yingheng Song

  • Zhijun Ma

  • Qiuxia Dong

  • July 21, 2026

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  • 1

    Triple-negative breast cancer (TNBC) is aggressive, accounting for 15%-20% of breast cancers, with poor prognosis and limited treatment options.

  • 2

    Immune checkpoint inhibitors (ICIs) combined with chemotherapy significantly improve overall survival and progression-free survival in advanced TNBC.

  • 3

    The objective response rate did not show significant improvement in PD-L1-negative or PD-L1-positive populations when using ICIs with chemotherapy.

  • 4

    Combination therapy with ICIs is associated with increased risks of all-grade and grade ≥3 adverse events, including immune-related adverse events.

  • 5

    Future research is needed for detailed stratification to guide individualized treatment in advanced TNBC due to current evidence limitations.

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